Most Relevant Information
Provider Data
| NPI Number: | 1003058322 |
| Provider Name: | JENNIFER CHIA-SHIN CHANG DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | 2588 |
Most Important Dates
| Enumeration Date: | 04/01/2009 |
| Last Updated: | 11/30/2011 |
Provider Practice Location
20 HOSPITAL DRIVE
LOGAN
WV
256013452
Practice Location Phone/Fax
| Phone: | 3047921101 |
| Fax: |
Provider Mailing Location
1613 N. HARRISON PARKWAY
#200
SUNRISE
FL
333232853
Provider Mailing Phone/Fax
| Phone: | 9548382371 |
| Fax: | 9548511746 |